Dr. Stephanie and Dr. David Perlmutter, a board-certified neurologist and 5X NYT best-selling author discuss the new understanding of Uric Acid in the context of gout, arthritis, purines, the way that we get gout through the consumption of sugar and fructose in particular. Dr. Perlmutter reveals the metabolism of fructose and why it's so insanely addictive. We go over the evolutionary selective bias and the reason why we burn fat vs storing fat. You'll understand the Sodium Paradox, Serum Osmolality, and their relation to Uric Acid. Of course, we'll discuss how the ketogenic diet affects your levels of Uric Acid and how keto cycling can help. You'll get our proven dietary and lifestyle hacks to lower uric acid, find out the ideal Uric Acid range you should fit within, and how specific medications and alcohol are affecting your body. Join the Hello Betty AMA here: https://hellobetty.club/ama We’d like to thank our sponsors, Athletic Greens - redeem an exclusive offer here: athleticgreens.com/stephanieLMNT Electrolytes - A FREE 7-flavor sample pack! - https://www.drinklmnt.com/DrEstimaOrion Red Light Therapy - get 10% off your order with Promo Code “STEPHANIE10” https://www.orionrlt.ca/?ref=StephanieLumen - get $25 off your order with Promo Code “DRSTEPHANIE25” https://www.lumen.me/?fid=1799Ancestral Supplements - Use Promo Code “ASA10” for 10% off any purchase https://shop.ancestralsupplements.com/discount/Tribe10?rfsn=5900205.652074&utm_source=refersion&utm_medium=affiliate&utm_campaign=5900205.652074PRIMEADINE - get 10% Off your Order with Promo Code “DRSTEPHANIE10” - https://oxfordhealthspan.com/products/best-spermidine-supplement And follow me on social:Instagram: https://www.instagram.com/dr.stephanie.estimaFacebook: https://www.facebook.com/groups/betterwithdrstephanie Join the Hello Betty Community here - https://hellobetty.club/membership/ Episode Overview:  1:15 Introduction4:55 Welcoming David6:19 New Understanding Uric Acid10:00 Purines and Fructose16:00 Metabolism Of Fructose And Why It’s Addicting24:25 Evolutionary Selective Bias37:04 The Reason Why We Burn Fat Vs. Storing Fat43:44 The Sodium Paradox, Serum Osmolality And Uric Acid58:14 Ketogenic Diet and Uric Acid1:01:16 Keto Cycling1:05:52 Dietary and Lifestyle Interventions To Lower Uric Acid1:15:34 Alcohol and Obesity1:19:10 Medication That Increases Uric Acid1:22:00 The Ideal Uric Acid Range1:26:00 Conclusion Dropacidbook.com Drperlmutter.com Join the Hello Betty AMA here: https://hellobetty.club/amaGet yourself a copy of my best-selling book, The Betty Body - https://bettybodybook.comJoin the Hello Betty Community here - https://hellobetty.club/membership/Show Less